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<head>
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    <title>Document</title>
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<body>
<div class="container">
    <div class="row">
        <div class="col-sm-6 col-sm-offset-3">
            <form action="" class="form-horizontal">
                <div class="form-group">
                    <label class="control-label col-sm-3">b</label>
                    <div class="col-sm-9">
                        <input class="form-control" placeholder="rdv" type="text">
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                </div>
                <div class="form-group">
                    <label class="control-label col-sm-3">b</label>
                    <div class="col-sm-9">
                        <input class="form-control" placeholder="rdv" type="text">
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                </div>
                <div class="form-group">
                    <div class="col-sm-3 col-sm-offset-3">
                        <input class="form-control" type="text">
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                    <div class="form-group col-sm-3">
                        <input class="form-control" type="text">
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            </form>
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